Measuring Lingual Range of Motion

For so long, we have focused on lingual strength and range-of-motion. The Iowa Oral Performance Instrument (IOPI),  the SwallowStrong and the Tongue Press have all been developed to give us visual and numeric strength measurements of the tongue. We finally have a measurement scale for lingual range of motion. C.L. Lazarus, H. Husaini, A.S. Jacobson, J.K. [...]

Dysphagia Assessment

So many people assess dysphagia in the same manner, at least from my observations. Sit with them while they eat a meal, feel laryngeal elevation and trial diet modifications. I have rarely seen people do a thorough dysphagia bedside evaluation.  I'm trying to standardize the manner in which I complete my bedside evaluation. I have [...]

Exercise

Recent and some previous dysphagia literature emphasizes the use of exercise physiology. Researchers such Lazarus et. al, Robbins et.al, Burkhead et. al and Clark have published the need for incorporating exercise physiology into dysphagia therapy. They emphasize the need to understand the muscles involved in the swallowing mechanism, understand their function so that you can [...]

NSOMES-To Use Them or Not to Use Them…..That is the Debate

This topic may seem a little off the dysphagia path, but it's not, trust me.  I have actually thought a lot about NSOMES in my therapy as of late.  Not only does NSOME, at least in my eyes, stand for Non-Speech Oral Motor Exercises, I also use the term for Non SWALLOWING Oral Motor Exercises.  This was the March topic [...]

Respiratory Muscle Strength Training

I recently went to an interesting course on respiratory muscle strength training, and by recently I mean 2 months ago!  I found the course very interesting. It was taught by Christine Sapienza. Respiratory muscle strength training has strong implications for dysphagia, is easy to implement and really fairly affordable.  Inspiratory strength training works on the muscles of inspiration [...]